Provider Demographics
NPI:1467553735
Name:SMITH-COMBE, MOYRA C (MFT)
Entity Type:Individual
Prefix:MS
First Name:MOYRA
Middle Name:C
Last Name:SMITH-COMBE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:140 MAYHEW WAY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-4328
Mailing Address - Country:US
Mailing Address - Phone:925-274-9800
Mailing Address - Fax:925-284-1544
Practice Address - Street 1:140 MAYHEW WAY
Practice Address - Street 2:SUITE 301
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-4328
Practice Address - Country:US
Practice Address - Phone:925-274-9800
Practice Address - Fax:925-284-1544
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC38085106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA08038OtherCONTRA COSTA MENTAL HEALT